Gayle Lacks, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD039692E Issued in PA

Practice address

711 West Ave
Jenkintown, PA 19046-2709

Phone

(215) 576-7933

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Temple University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265651152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GREENWOOD AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951808",
            "telephone_number": "215-576-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WEST AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462709",
            "telephone_number": "215-576-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKS",
        "first_name": "GAYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039692E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc M Kress, M.D.
• Susan Kuchera, MD
• Richard J Kunkle, PHARMD, RPH
• Fanny Appianing Kusi
• Alison Polk Williams Labadie, M.D.
• Lana Hopkins Psy D & Associates
• Martha Diane Langberg, PHD
• Yelena Lapkin, OD
• Lasting Impression Home Care Services LLC
• Scott Laudenslager, COTA/L

• Psychiatry Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.